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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-BUSINESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos C+-hn C>:k4l,-i c-,; (name <br />of City Board, Commission, etc.) states under oath as follows: <br />I have a substantial interest in a business entity that may be involved in a vote or decision of the <br />governmental body described above, and the vote or decision may have a special economic effect on <br />the business entity that is distinguishable from the effect on the public. The name of the business entity <br />The nature and extent of my interest in the business entity is as follows: (check all that apply) <br />Ownership of 10 percent or more of the voting stock or shares of the business entity. <br />Ownership of 10 percent or more of the fair market value of the business entity. <br />Ownership of $5,000 or more of the fair market value of the business entity. <br />Funds received by me from the business entity exceed 10 Percent of my gross income for <br />the previous year. <br />The interest described above belongs to a person related to me in the first degree by <br />consanguinity (natural kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on tI ie &1v\1t myer9, i 917 agenda of the governmental <br />body, and is described as follows: ,I+.e,, q. D. 0) -Ab41 rVVAJ o.F' S±Xk- ref -teWe-,,t <br />EXECUTED this 9*U day of X10 v%v^ be.,,- , 199 9 <br />Signature <br />Printed Name_ ?< < 1 ?.t . ta4 oo?-c_ <br />S C?:. •1Q AfyAPO3E before me on the `day ofU ?^rr99 0 <br />t Notary Public, State of Texas <br />p _ My Commission Expires <br />No a ,MoFZ. AUG. 13, 2001 !.? <br />No <br />public <br />State of Texas <br />FILED this Zq day of ?, 199 u <br />City Sobretary